Bordbar A, Mesry S, Yousofic A
Anaesthesia. 1975 Mar;30(2):223-7. doi: 10.1111/j.1365-2044.1975.tb00838.x.
The diagnosis and management of 200 cases of self-poisoning due to orally ingested crude opium in Iran is reported and discussed. Gastric lavage supported when necessary by nalorphine was effective treatment in the majority of cases because of the slow absorption of opium. Mechanical ventilation was required in twelve cases (6%) only. There were three deaths; two of these were due to pulmonary oedema which was apparently not the result of hypoxia.
报告并讨论了伊朗200例口服粗制鸦片所致自我中毒的诊断与处理。由于鸦片吸收缓慢,多数病例采用洗胃并在必要时用烯丙吗啡辅助治疗有效。仅12例(6%)需要机械通气。有3例死亡;其中2例死于肺水肿,显然并非缺氧所致。